Form 207i - Insurance Premium Tax And Health Care Center Tax Underpayment Of Estimated Tax - 1998

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STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
PO Box 2990, Hartford CT 06104-2990
I
(Rev. 12/98)
Connecticut Tax Registration Number
Company Name
1. Enter amount shown on 1998 Form 207, Line 10; 1998 Form 207F, Line 15; or 1998 Form 207HCC, Line 4
(If the amount is less than $1,000, do not complete this form) ......................................................................... 1
2. Multiply Line 1 by 90% (.90) ................................................................................................................................
2
3. Enter amount shown on 1997 Form 207, Line 13; 1997 Form 207F, Line 17; or 1997 Form 207HCC, Line 2 .......
3
4. Enter the lesser of Line 2 or Line 3 ....................................................................................................................
4
3-15-98
6-15-98
9-15-98
12-15-98
5. Installment due dates ........................................................................................ 5
6. Enter the amount from Line 4 in Columns A through D ................................. 6
7. Estimated installment rate ................................................................................ 7
.30
.30
.20
.20
8. Multiply Line 6 by Line 7 ..................................................................................... 8
9. Enter payments made or credits received on or before the installment
due date ............................................................................................................... 9
10. Subtract Line 9 from Line 8 (If result is less than or equal to zero, enter 0)
See instructions if credit is established .......................................................... 10
11. Enter date of additional payment or credit received after the installment
mm
dd
yy mm
dd
yy
mm
dd
yy mm
dd
yy
due date. If no additional payment or credit, enter earlier of due date of
/ /
/ /
/ /
/ /
annual return or filing date of annual return .................................................... 11
12. Enter whichever is less: the number of months from the date on Line 5,
Columns A through D to the payment date shown on Line 11, Columns A
through D;
12 months for ESA; 9 months for ESB; 6 months for ESC;
3 months for ESD ............................................................................................... 12
13. Multiply the number of months on Line 12 by 1% (.01) .................................. 13
14. Interest due (Multiply Line 10 by Line 13) ........................................................ 14
15. Enter the amount of payment made or credit received on date shown on
Line 11, Columns A through D .......................................................................... 15
16. Subtract Line 15 from Line 10 ........................................................................... 16
17. Enter the date of the next additional payment or credit that meets the
mm
dd
yy mm
dd
yy
mm
dd
yy mm
dd
yy
balance on Line 16, Columns A through D (If no additional payment or
/ /
/ /
/ /
/ /
credit, enter due date of annual return) ............................................................ 17
18. Enter the number of months from Line 11, Columns A through D to date
shown on Line 17, Columns A through D ........................................................ 18
19. Multiply the number of months on Line 18 by 1% (.01) .................................. 19
20. Interest due (Multiply Line 16 by Line 19) ........................................................ 20
21. Total interest due (Add Line 14 and Line 20) .................................................. 21
22. Add Columns A through D, Line 21 and enter here and on the appropriate
Connecticut tax form (Form 207, Line 17; Form 207F, Line 22; or Form 207HCC, Line 10) ....................... 22

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